HomeMy WebLinkAboutZ-12002TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN ILiLL
SOUTHOLD, NEW YOP, K
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/'~/ Land
/ X[ Building(s)
/--/ Use(s)
located at 1255 Arshamomaque Avenue
No. Z12002
October 21,
Southold
1983
Street Hamlet
shown on County tax map as District 1000, Section 066 , Block 03
Lot 007 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
t~e property has insufficient area; the accessory 'garage and
bin in the front yard is non-conforming; the side yard setback
of the dwelling is insufficient on the North side.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /Z/Land /Z/Building(s)
/_/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's' Office, the occupancy and use for which this Certifi-
cate is issued is as follows: a private one-family dwelling, detached
garage, a frame building, one shed, two (2) bins. This property
is located in the 'A' Residential-Agricultural Zone District.
The Certificate is issued to JENNIE LEWIS
(o~vner,
of the aforesaid building.
Suffolk County Department of Health Approval no record
UNDER%VRITERS CERTIFICATE NO. no record
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
'-quiidin~' ~spector
FORM NO. 6
TOWN OF SOUTHOLD
Building Der -~r~ment
Tow, i~d'
Southold, ~.' ~Ig71
APPLICATION FOR CERTIF!CATE OF OCCUPANCY
Instruct;
A. This application must be filled in typewriter OR in:,., and submitted in duplicate t~ the Building Inspec-
tor with the following; for new buildings or new us.~:
1. Final ~-urvey of property with accurate location of all buildings, property lin~'~ streets, and unusual
natu ~;~; or topographic featu res.
2. Firv-.~ ~r)proval of Health Dept, of water supply ~n~ sewerage disposal-(S-9 fo~,' or equal).
3. Apr,'~. ~al of electrical installation from Board o; ~' r' U,~derwriters.
4. Co.~r .~.,rcial buildings, Industrial buildings, Muh:::~, ~esidences and similar .'. Idings and installa-
tions, a certificate of Code compliance from the ~,-chitect or Engineer respo. = :hie +or the building,
5. Submi' Planning BOard approval of completed she olan. ~equirements where a.~=' - ~bte.
B. For exbdng buildings (prior to April 1957), Nc.m~,~.~,4,rming uses, or build an~ "pre-existing"
land t~..
1. Ar.:. ~te survey of peoperty showing all prop¢,' z tines, streets, buildings ;'. unusua~ natural or
to; . ,phic features.
2. S.~ ~tatement of owner or previous owner as: ' ,,se, ,~ccupancy and condit' · c~ build;ngs.
3. E. = any housing code or safety inspection ," h~',omgs qr premises, or ~ertin~nt inform+
[~o,,, q,,ired to prepare a certificate.
Fees:
1~ Certificate of occupancy $5.00
2. C-rti~' cate of occupancy on preexisting dwelling or land use
3. C~m.v of certificate of occupancy $1.00
$5.00
Date ~eptemher. L3,.19.83 ....
New Buitdin~_~.~_.~ ....... Old or Pre-existing Building . .Y~X~A....y. Vacant '_and .............
Loc~ion of Pr~ertyN~g~Y.~. ~.,..$r~o~que. ~ne,. ~eixeAon~. Southol~, · ~ew
H~M NO. St~t Ham/et
Owner or Ownem of Pro~ . .q~. ~ ............................................
CounW Tax Map No. 1~ Section .... ~ ......... Block ...... ~ ........ L,-~ ....7. ....... 7...
Subdivision.:~:~.i.~~.. ~.~., ...... F~',~dMap,o...~7. gLo' 'o ..... ~.~...~
Permit No ........... Date of Permit .......... A~pHcant .................................
Yor~
Health Dept. Approval ........................ LPbor Dept. Approval ........................
Underwriters Approval ........................ P',~nning Board Approval ......................
Request for Temporary Certificate .................... Final Certificate ......................
Fee Submitted $..5.: .0.0. .......................
Constructio~ on above described building and permit meets all applicable codes and r-eulations.
Appli~an - . .........................
Rev. 10-10-78
Premises at: No Street Number
Arshamonque Lane, Beixedon, Southold,
Long ISland, New York
STATE OF NEW YORK)
COUNr?Y OF SUFFOLK) ss.:
I, JENNIE LEWIS , residing at 7lA Shore Road~
Port Washington, New Yor~ being duly sworn, depose an~ say:
That I am the present owner of the premis~' located atArshamonqu
Lane, Southold, New York , and ~esignated on the S~ ~folk County Tax
Map as District 1000, Section 66 , Block 3 , !~.~ 7 , and am
familiar with the condition of same;
That the structure situated thereon has be~,n designed,
arranged and physically occupied ~s a single family ,~el!ing;
That~this time the premLses is/is not occu,~.i, ed;
That the condition of the existing structu~-e on the premises
is good;
That I make this affidavit in the knowledc~ that the Building
Department of the Town of Southo!d will rely on the < ccuracy thereof
in issuing a certificate of occupancy for pre-existin~~ use.
Sworn to before me this
16th day of August , 1983.
Notary Public
MAUREEN ~.' BUCHANAN
NOTARY PUBLIC, St.te of New
No. 01BU4755300
(~uaJi|ied in Suff~,Jk Cm".~
Commission i~xpk~ Lt~r_ch 3~ ~